This picture by James Nachtwey is extremely powerful, the hand position and side shot of the facial features of this young man, along with the contrast of the background creates a hugely powerful effect demonstrating the effects of war, the scars on his face, the position of his hand, his eyes, and the expression of his mouth really show the injury that he's been through. To add to the effect of these elements, Nachtwey also captures this photograph in black and white, creating a somberness.
This photograph is so sad, the posture of this man laying on the ground, the hands touching the ground, the man's body so thing and skinny, almost starved to death, James Nachtwey upheld justice by capturing the horrors that occur elsewhere and sharing them. The man seems so hopeless, his expression towards the ground, bones more then fat showing, the darkness of the structure behind him adds to this, the knowledge that humans lie nearby but nobody is doing anything.